Ohio Medicaid Managed Care
Ohio Medicaid’s annual open enrollment is happening now!
Members who want to change their plan can review choices available and select the plan that best fits your healthcare needs. And though Medicaid plans cover medical, vision, dental, and behavioral health services as required by law, each offers value-added extras to keep you healthy and earn your business. Taking part in open enrollment lets you learn the differences among each, so you know you’re covered by the health plan that’s best for you.
If you would like to keep your current managed care plan, you do not have to do anything.
If you decide to switch, your new plan will begin covering you on the first day of the month following your selection. For example, if you decide to switch in August, coverage by your newly selected health plan begins September 1.
While reviewing plans, check to see:
- Which plan works with all or most of your doctors?
- Which plan works with the hospitals or clinics you prefer?
- Which plan offers special services you need, such as additional unemployment assistance, access to nutritious foods, education, or wellness programs, or covers an extra dental visit or pair of eyeglasses?
- If you’ll have to cover any fees or co-pays for dental services, routine eye exams, eyeglasses, mental health, substance use disorder benefits, or non-emergency services provided in a hospital emergency department?
The list of resources below is available to help you identify the managed care plan that best meets your healthcare needs:
- The 2024 Managed Care Health Plan Comparison Guide provides an overview of the services that all managed care plans currently offer as well as the specific value-added services available from each individual plan in 2024.
- The 2025 Managed Care Health Plan Comparison Guide provides an overview of the services that all managed care plans will offer as well as the specific value-added services available from each individual plan in 2025.
- Find a Managed Care Provider search tool can help identify the managed care plans contracting with ("in network,") your trusted providers.
- Open Enrollment FAQ answers questions related to annual managed care open enrollment.
- Each managed care plan has a member website that you can visit to learn more about their approach to serving Ohio Medicaid managed care members:
- Call the Medicaid Consumer Hotline at 800-324-8680 (TTY 711) if you have questions about the plan options available.
- Representatives are available Monday through Friday 7am-8pm and Saturday 8am-5pm ET.
- Medicaid Managed Care Member FAQs answers questions related to the managed care program and background about Ohio Medicaid's managed care program.
Selecting or changing a managed care plan
Ohio Medicaid wants you to receive benefits from the managed care plan that best fits your healthcare needs and preferences. If you do not feel you are receiving the care that is best for you, you have options to change your plan:
Any changes will be made effective on the first day of the month following your selection.
To select or change your plan, Ohio Medicaid members can either visit the Ohio Medicaid Consumer Hotline Portal at https://members.ohiomh.com or contact the Ohio Medicaid Consumer Hotline at 800-324-8680 (TTY 711).
Members enrolled in the OhioRISE program
OhioRISE enrollees will receive your behavioral health benefits through Aetna (the OhioRISE plan) and your medical, dental, vision and other health services through one of the seven managed care programs or fee-for-service Medicaid.
Need to change plans? Learn about Just Cause
If you have concerns about your plan and access to healthcare, you can request to change or disenroll from your plan at any time for Just Cause. A Just Cause for enrollment is a request to change or disenroll from plans outside of the annual open enrollment period or after the initial 90-day enrollment period. You can make a Just Cause request by contacting Ohio Department of Medicaid through the Ohio Medicaid Consumer Hotline at 800-324-8680 (TTY 711) or reaching out to your managed care plan.
Learn more about other Ohio Medicaid managed care programs
To learn more about the other components of the Ohio Medicaid program, please visit the websites below: